Publication date: Jun 25, 2025
Objective: To investigate the influence of four preoperative CT image characteristics on the outcome of thoracoscopic surgery for chronic tuberculous empyema. Methods: This is a retrospective cohort study. Two hundred and eleven patients of tuberculous empyema who underwent video-assisted thoracic surgery(VATS) decortication at the First Department of Surgery, Wuhan Pulmonary Hospital from June 2020 to June 2023 were retrospectively analyzed. There were 162 male cases and 49 female cases, with an age of (M (IQR)) 33 (27) years (range: 8 to 76 years). Patients were divided into two groups according to whether low-density lines, mass-patchy density, pleural fusion were observed, and the lesion size. Compare the clinical indicators of two groups of cases. Using the rapeutic efficacy as the dependent variable and four CT features as covariates, cases with cure or improve were included in Logistic regression analysis to calculate OR (95%CI) values. Results: Preoperative chest CT images showed that 127 cases (60. 2%) had low-density lines, 102 cases (48. 3%) had mass-patchy density, and 88 cases (47. 7%) had pleural fusion. The lesions spanned 2 to 11 intercostal spaces, with a median of 7 intercostal spaces. The lesion size was divided into two groups according to
| Concepts | Keywords |
|---|---|
| Iqr | Cases |
| June | Characteristics |
| Pulmonary | Chronic |
| Rapeutic | Density |
| Surgeryvats | Empyema |
| Groups | |
| Image | |
| Influence | |
| June | |
| Outcome | |
| Preoperative | |
| Surgery | |
| Thoracoscopic | |
| Tuberculous | |
| Years |
Semantics
| Type | Source | Name |
|---|---|---|
| disease | MESH | tuberculous empyema |